APEA 3P Exam Prep- Women's Health Questions
with Correct Answers and Explanations
Three of the following interventions are appropriately used to prevent osteoporosis after menopause. Which
one is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins at least 5 days/week
Estrogen replacement therapy
Adequate calcium & vitamin D intake
C.
Prevention of osteoporosis may be optimized by elimination of risk factors and engaging in interventions that
maximize bone density. Good nutrition from infancy throughout adulthood is a major component of good bone
health. Others include engaging in weight-bearing exercises, adequate intake of calcium and vitamin D,
smoking cessation, limiting alcohol consumption to moderate amounts, and avoidance when possible of
medications that may decrease bone density (corticosteroids, anticonvulsants). Osteoporosis occurs at
accelerated rates in women who are post-menopausal. The lack of estrogen can produce rapid bone loss
due to bone resorption. Estrogen replacement is not used to prevent or treat osteoporosis.
A patient who is scheduled for pelvic exam with PAP smear should be advised to avoid douching, sexual
intercourse, and tampon use before her exam. For how long should she be advised to avoid these activities
for optimal evaluation?
24 hours
48 hours
36 hours
1 week
B.
The general recommendation is to avoid these activities and any vaginal medication for 48 hours prior to the
PAP smear. Douching and tampon use can remove superficial cells, which are the ones collected and used
as representative samples on PAP smear. Sexual intercourse should be avoided because there can be
specimen contamination by the male partner. With vaginal medications or creams, either can serve as a
barrier to epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are the endocervical cells typically collected?
After the ectocervical specimen with a broom
After the ectocervical specimen with a brush
Before the ectocervical specimen with a broo
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